CALCULATION BODY SURFACE AREA AREA INDICATED 0 YEAR 1YEAR 5 YEAR 10 YR 15 YR A 9.5 8.5 6.5 5.5 4.5 B 2.75 3.25 4.0 4.5 4.5 C 2.5 2.5 2.75 3.0 3.25 MAJOR BURNS. >5% BSA involved Burns involving airway Deep burns in especially important areas (e.g. hands or eyes) TREATMENT ALGORITHM […]
Read More →CAUSES Cyanotic congenital heart disease Respiratory Persistent pulmonary hypertension of new-born Sepsis Seizures (Tonic) Polycythaemia MANAGEMENT Oxygen saturation Blood for PCV, FBC, culture, glucose, U&E’s, calcium. Blood gas Chest x-ray/ ECG Lumbar puncture / antibiotics Hyperoxia test in FiO2 90-100% (head box or ventilated) Echocardiogram Cranial ultrasound. Management of new-born infant with suspected cyanotic congenital […]
Read More →This is subperiosteal haemorrhage due to rupture of blood vessels most often due to traumatic delivery Most commonly seen in the parietal or frontal bone area Clinical features Swelling appears and increases over the days after birth This swelling can be unilateral just over the place of traumatic delivery The swelling is limited to […]
Read More →This is subperiosteal haemorrhage due to rupture of blood vessels most often due to a traumatic delivery Most commonly seen in the parietal or frontal bone area Clinical features Swelling appears and increases over the days after birth This swelling can be unilateral just over the place of traumatic delivery The swelling is […]
Read More →FEATURES Headache Change in neurological status Specific neurological signs Increasing BP, slowing pulse Papilloedema MANAGEMENT: URGENT transfer to a PICU. Elevate head end of bed by 30 degrees( Neck straight) Check Blood glucose. 3% saline (2-5ml/kg over 30 minutes). Maintain serum osmolarity <360 mOsm/L Mannitol 0.25 g/kg to 1 g/kg( Max 12.5gm) stat over 20 min. […]
Read More →These features help differentiate different types of chest pain based on these characters. SITE RETROSTERNAL- Angina Myocaridial Infarction Pericarditis LEFT MAMMARY AREA- Anxiety RADIATION LEFT ARM Angina Myocardial infarction Pericarditis Cervical Spondylosis LOWER JAW Angina Myocardial Infarction BACK OF CHEST Dissection of Aorta An Aortic Aneurysm Angina DURATION LASTS FEW MINUTES Angina LASTS […]
Read More →Always remember– Be careful about the amount of fluid being removed. Removing excess fluid can cause the child to go into hypovolemic shock INDICATIONS Pneumothorax Tension pneumothorax- pneumothorax causing the collapse of the lung due to air accumulation Repeated pneumothorax in spite of needle drainage Ventilated patients Malignant pleural effusion Empyema- generally following abscess […]
Read More →This is a highly contagious exanthematous illness caused by the Varicella Zoster virus (herpes group) Clinical features The incubation period is approx 15 days This starts with mild fever and constitutional features like body ache, runny nose Skin features Centripetal distribution ( more over the chest/ back) Lesions occur as crops and appear simultaneously Lesions […]
Read More →This is highly contagious exanthematous illness caused by Varicella Zoster virus (herpes group) Clinical features Incubation period is approx 15 days This starts with mild fever and constitutional features like body ache, runny nose Skin features Centripetal distribution ( more over the chest/ back) Lesions occur as crops and appear simultaneously Lesions presents papules/ […]
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